The development of sexual organs in humans is still not completely understood at the molecular level, controlled through the chromosomal difference between men and women. Steroids related to sexual development can have a temporary or permanent effects. Androgens are the leading compounds differentiating between (among other sexual organs) the internal and external genitalia of men. Next to the classical pathway of androgen synthesis (see [https://www.wikipathways.org/index.php/Pathway:WP4523]), alternative pathways are known, which make use of either selective expression patterns of isoenzymes or alternate enzymes. As an alternative, a socalled 'backdoor pathway', which can create dihydrotestosterone (DHT), skipping testosterone. Several enzymes between the classical and backdoor pathway are shared, however the later one utilises one unique enzyme, 3-alpha hydroxysteroid dehydrogenase 3 (gene: AKR1C2). Even though the relevance of this backdoor pathway for humans is not completely clear yet, mutations in the human AKR1C2 gene can lead to disordered sexual differentiation. This finding would indicate that both the classical and the alternative pathway are needed for normal development of male genitalia in humans. For more information on androgens, see Hiort (2013 [https://www.ncbi.nlm.nih.gov/pubmed/23800242]), and for more information on the disease linked to this pathway, please visit Chapter 37 of the book of Blau (ISBN 3642403360 (978-3642403361)).

Authors

Eline Sanders , Denise Slenter , Egon Willighagen , Irene Hemel , Friederike Ehrhart , Eric Weitz , and Finterly Hu

Cited In

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Organism

Homo sapiens

Communities

Inborn Errors of Metabolism (IEM) Pathways Rare Diseases

Annotations

Pathway Ontology: testosterone biosynthetic pathway altered steroid biosynthetic pathway steroid hormone metabolic pathway steroid metabolic pathway altered isoprenoid biosynthetic pathway cholesterol metabolic pathway steroid hormone biosynthetic pathway disease pathway

Disease Ontology: steroid inherited metabolic disorder

Participants

References

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